FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 4143060 · Received September 23, 2014

Report

Report Number
1627487-2014-06289
Event Type
Injury
Date Received
September 23, 2014
Report Date
August 29, 2014
Manufacturer
ST. JUDE MEDICAL - NEUROMODULATION
Product Code
GZB
PMA / PMN Number
P010032
Removal / Correction Number
1627487-07262012-001-C
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

RECALL: 1627487-05242011-002-R, 1627487-07262012-002-R. THIS IPG SERIAL NUMBER WAS INCLUDED IN FIELD ADVISORIES AND A FIELD CORRECTION. SJM HAS LIMITED INFORMATION RELATED TO THE PATIENT'S MEDICAL HISTORY AND IS UNABLE TO FORM AN OPINION AS TO THE RELEVANCY OF THE PATIENT'S HISTORY TO THE EVENT REPORTED. SJM DEFERS TO THE PATIENT'S PHYSICIAN REGARDING MEDICAL HISTORY.

Description of Event or Problem · 1

DEVICE 1 OF 5. REF. MFR. REPORTS: 1627487-2014-06290, 1627487-2014-06291, 1627487-2014-06292, 1627487-2014-06293. THE PT HAD TWO SCS SYSTEMS IMPLANTED. ONE SYSTEM FOR HIS THORACIC REGION (IMPLANTED ON (B)(6) 2009) AND ONE FOR HIS CERVICAL REGION (IMPLANTED ON (B)(6) 2012). INFO PROVIDED BY THE PT'S ATTORNEY, INDICATED THE PT ALLEGES THE FOLLOWING ISSUES: THE PT EXPERIENCED RANDOM OVERSTIMULATION AND BURNING WHILE CHARGING. HIS IPG'S (THORACIC AND CERVICAL) EVENTUALLY STOPPED HOLDING A CHARGE AND THE PT IS NO LONGER RECEIVING STIMULATION FROM EITHER OF HIS SCS SYSTEMS. APPROXIMATELY A YEAR AGO THE PT REPORTED HAVING TROUBLE COMMUNICATING USING HIS CHARGER (3721 AND 3722) WITH BOTH IPG'S. THE PT WAS SENT TWO REPLACEMENT CHARGERS (3722) TO ADDRESS THE ISSUE. AN SJM REPRESENTATIVE MADE SEVERAL ATTEMPTS TO CONTACT AND MEET WITH THE PT FOR TROUBLESHOOTING AND REPROGRAMMING; HOWEVER, THE PT DID NOT SHOW UP FOR THE SCHEDULED APPOINTMENTS AND REFUSED TO TROUBLESHOOT OVER THE PHONE. ADDITIONAL INFO IS NEEDED TO CLARIFY THE NATURE OF THE PT'S ISSUES. SJM WAS MADE AWARE OF THE ISSUES ON (B)(6) 2014, AND THE PT'S SCS SYSTEM HAS NOT BEEN EVALUATED BY AN SJM REPRESENTATIVE TO VERIFY AND/OR TROUBLESHOOT ANY OF THE REPORTED ISSUES. ON 08/01/2012 ST. JUDE MEDICAL, NEUROMODULATION DIVISION, SENT FIELD ACTION LETTERS TO PTS RELATED TO HEATING WHILE CHARGING AND RAISED AWARENESS OF THIS ISSUE TO PTS. AN INCREASE IN PRIOR NON-REPORTED HEATING WHILE CHARGING EVENTS AND OTHER NON-REPORTED EVENTS WAS EXPECTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
591022 EON MINI SCS IPG GZB ST. JUDE MEDICAL - NEUROMODULATION 3788 2834058

Patients

Seq Age Sex Outcome Treatment
1 Other